I don't know but I can't eat pizza before bed anymore or I get heartburn bad. Spaghetti too. The last year I've gotten to where I don't eat pizza anymore cause I pay for it. I hope you get better information and can change the diet and get by. I'd ask another doctor if it was me cause I have been getting different opinions from different doctors the last few years and been sent down rabbit holes by them for no reason according to specialist doctors. The ER doctors were wrong on a few occasions I had dealing with leg pain.